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PHYSICAL EXAMINATION AN
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ILLUSTRATED HANDBOOK 3RD
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EDITION WITH ANSWERS
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PATRICKS 5/1/23 PEDIATRC
NURSING
,Pediatric Physical Examination 3rd Edition TESTBANK
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Chapter |!|1: |!|Approach |!|to |!|Care |!|and |!|Assessment |!|of |!|Children |!|and |!|Adolescents
MULTIPLE |!|CHOICE
1. A |!|nurse |!|is |!|reviewing |!|developmental |!|concepts |!|for |!|infants |!|and |!|children. |!|Which |!|statement
|!| best |!|describes |!|development |!|in |!|infants |!|and |!|children?
a. Development, |!|a |!|predictable |!|and |!|orderly |!|process, |!|occurs |!|at |!|varying |!|rates
|!|within |!|normal |!|limits.
b. Development |!|is |!|primarily |!|related |!|to |!|the |!|growth |!|in |!|the |!|number |!|and |!|size |!|of |!|cells.
c. Development |!|occurs |!|in |!|a |!|proximodistal |!|direction |!|with |!|fine |!|muscle
|!|development |!|occurring |!|first.
d. Development |!|is |!|more |!|easily |!|and |!|accurately |!|measured |!|than |!|growth.
ANS: |!|A
Development, |!|a |!|continuous |!|orderly |!|process, |!|provides |!|the |!|basis |!|for |!|increases |!|in |!|the |!|childs
|!| function |!|and |!|complexity |!|of |!|behavior. |!|The |!|increases |!|in |!|rate |!|of |!|function |!|and |!|complexity |!|can
|!| vary |!|normally |!|within |!|limits |!|for |!|each |!|child. |!|An |!|increase |!|in |!|the |!|number |!|and |!|size |!|of |!|cells |!|is
|!| a |!|definition |!|for |!|growth. |!|Development |!|proceeds |!|in |!|a |!|proximodistal |!|direction |!|with |!|fine
|!| muscle |!|organization |!|occurring |!|as |!|a |!|result |!|of |!|large |!|muscle |!|organization. |!|Development |!|is |!|a
more |!|complex |!|process |!|that |!|is |!|affected |!|by |!|many |!|factors; |!|therefore, |!|it |!|is |!|less |!|easily |!|and
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|!| accurately |!|measured. |!|Growth |!|is |!|a |!|predictable |!|process |!|with |!|standard |!|measurement |!|methods.
2. Frequent |!|developmental |!|assessments |!|are |!|important |!|for |!|which |!|reason?
a. Stable |!|developmental |!|periods |!|during |!|infancy |!|provide |!|an |!|opportunity |!|to
|!|identify |!|any |!|delays |!|or |!|deficits.
b. Infants |!|need |!|stimulation |!|specific |!|to |!|the |!|stage |!|of |!|development.
c. Critical |!|periods |!|of |!|development |!|occur |!|during |!|childhood.
d. Child |!|development |!|is |!|unpredictable |!|and |!|needs |!|monitoring
1
,ANS: |!|C
Critical |!|periods |!|are |!|blocks |!|of |!|time |!|during |!|which |!|children |!|are |!|ready |!|to |!|master |!|specific
|!| developmental |!|tasks. |!|Children |!|can |!|master |!|these |!|tasks |!|more |!|easily |!|during |!|particular |!|periods
|!| of |!|time |!|in |!|their |!|growth |!|and |!|developmental |!|process. |!|Infancy |!|is |!|a |!|dynamic |!|time |!|of
|!| development |!|that |!|requires |!|frequent |!|evaluations |!|to |!|assess |!|appropriate |!|developmental |!|progress.
|!| Infants |!|in |!|a |!|nurturing |!|environment |!|will |!|develop |!|appropriately |!|and |!|will |!|not |!|necessarily |!|need
stimulation |!|specific |!|to |!|their |!|developmental |!|stage. |!|Normal |!|growth |!|and |!|development |!|are
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|!| orderly |!|and |!|proceed |!|in |!|a |!|predictable |!|pattern |!|on |!|the |!|basis |!|of |!|each |!|individuals |!|abilities |!|and
|!| potentials.
3. Which |!|factor |!|has |!|the |!|greatest |!|influence |!|on |!|child |!|growth |!|and |!|development?
a. Culture
b. Environment
c. Genetics
d. Nutrition
ANS: |!|C
Genetic |!|factors |!|(heredity) |!|determine |!|each |!|individuals |!|growth |!|and |!|developmental |!|rate.
|!| Although |!|factors |!|such |!|as |!|environment, |!|culture, |!|nutrition, |!|and |!|family |!|can |!|influence |!|genetic
|!| traits, |!|they |!|do |!|not |!|eliminate |!|the |!|effect |!|of |!|the |!|genetic |!|endowment, |!|which |!|is |!|permanent.
|!| Culture |!|is |!|a |!|significant |!|factor |!|that |!|influences |!|how |!|children |!|grow |!|toward |!|adulthood. |!|Culture
|!| influences |!|both |!|growth |!|and |!|development |!|but |!|does |!|not |!|eliminate |!|inborn |!|genetic |!|influences.
Environment |!|has |!|a |!|significant |!|role |!|in |!|determining |!|growth |!|and |!|development |!|both |!|before |!|and
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|!| after |!|birth. |!|The |!|environment |!|can |!|influence |!|how |!|and |!|to |!|which |!|extent |!|genetic |!|traits |!|are
manifested, |!|but |!|environmental |!|factors |!|cannot |!|eliminate |!|the |!|effect |!|of |!|genetics. |!|Nutrition |!|is
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|!| critical |!|for |!|growth |!|and |!|plays |!|a |!|significant |!|role |!|throughout |!|childhood.
4. A |!|nurse |!|is |!|planning |!|a |!|teaching |!|session |!|with |!|a |!|child. |!|According |!|to |!|Piagetian |!|theory, |!|the
|!| period |!|of |!|cognitive |!|development |! | in |!|which |!|the |!|child |! | is |! | able |!|to |! | distinguish |! | fact
|! | from | ! | fantasy |!|is | ! | the |!|period |!|of |!|cognitive |!|development.
a. sensorimotor
,